NPI age
20 years
Enumerated 2006-05-04
● Active
Type 1 · Individual
John Michael Dorough, AA
Dorough is 1 of 1 physician assistant providers in Saint Simons Island and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2013-07-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
20 years
↑ 12 yr above median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
161 Raymonds Grant Trce
Saint Simons Island, GA 315225393
Mailing address
161 Raymonds Grant Trce
Saint Simons Island, GA 315225393
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
-
Anesthesiologist AssistantAn individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 100001809A | |
| 05 (GA) | 100001811B | |
| 01 (GA) | P00410144 | RRB |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.